Methodist Hospitals Southlake
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Methodist Hospitals Southlake. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN150132
Procedures & prices
Hospital-published price lines. These are billing-code items from the hospital transparency file, not a personalized estimate. Cash is the self-pay price; gross is the pre-discount list price.
Price definitions
- Cash
- — self-pay price (no insurance)
- Gross
- — chargemaster list price; the pre-discount sticker rate, rarely what anyone pays
- Negotiated range
- — min–max of rates the hospital negotiated with insurers
- Payers
- — number of insurers with a published rate (“0” / “—” = none)
Available here:CashGross listInsurer-negotiated rates were not published for these rows.
- Methylprednisolone OralDrugHCPCS J7509Hospital-published line item$10cashGross $15
- Injection, Zidovudine, 10 MgDrugHCPCS J3485Hospital-published line item$11cashGross $16
- Factor Ix ComplexDrugHCPCS J7194Hospital-published line item$11cashGross $16
- Reagent Strip/Blood GlucoseLab testCPT 82948Hospital-published line item$11cashGross $16
- Injection, Aminophyllin, Up To 250 MgDrugHCPCS J0280Hospital-published line item$11cashGross $16
- Factor Viii (antihemophilic Factor, Human) Per I.u.DrugHCPCS J7190Hospital-published line item$12cashGross $17
- Injection, Metoclopramide Hcl, Up To 10 MgDrugHCPCS J2765Hospital-published line item$12cashGross $17
- Injection, Clevidipine Butyrate, 1 MgProcedureHCPCS C9248Hospital-published line item$12cashGross $18
- Levalbuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 0.5 MgDrugHCPCS J7614Hospital-published line item$13cashGross $19
- Acyclovir InjectionDrugHCPCS J0133Hospital-published line item$13cashGross $19
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Methylprednisolone Oral DrugHCPCS J7509Hospital-published line item | $10 | $15 |
Injection, Zidovudine, 10 Mg DrugHCPCS J3485Hospital-published line item | $11 | $16 |
Factor Ix Complex DrugHCPCS J7194Hospital-published line item | $11 | $16 |
Reagent Strip/Blood Glucose Lab testCPT 82948Hospital-published line item | $11 | $16 |
Injection, Aminophyllin, Up To 250 Mg DrugHCPCS J0280Hospital-published line item | $11 | $16 |
Factor Viii (antihemophilic Factor, Human) Per I.u. DrugHCPCS J7190Hospital-published line item | $12 | $17 |
Injection, Metoclopramide Hcl, Up To 10 Mg DrugHCPCS J2765Hospital-published line item | $12 | $17 |
Injection, Clevidipine Butyrate, 1 Mg ProcedureHCPCS C9248Hospital-published line item | $12 | $18 |
Levalbuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 0.5 Mg DrugHCPCS J7614Hospital-published line item | $13 | $19 |
Acyclovir Injection DrugHCPCS J0133Hospital-published line item | $13 | $19 |
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